Beverly L Deck, MD is a
General Practice physician based in Forest Park, Illinois. Beverly L Deck is licensed to practice in Illinois (license number 036087476) and her current practice location is 7318 Madison St, Forest Park, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 560-1960.
NPI number for Beverly L Deck is 1043308828 and her current mailing address is 7318 Madison St, Forest Park, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043308828.
Physician's Profile
Full Name | Beverly L Deck |
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Gender | Female |
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Speciality | General Practice |
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Location | 7318 Madison St, Forest Park, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043308828
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 06/24/2014
Medical Identifiers
Medical identifiers for Beverly L Deck such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043308828 | NPI | - | NPPES |
0001636851 | Other | IL | BLUE CROSS/ BLUE SHIELD |
036087476 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 036087476 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Beverly L Deck is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Beverly L Deck, MD 7318 Madison St, Forest Park, IL 60130-3100 Ph: (708) 560-1960 | Beverly L Deck, MD 7318 Madison St, Forest Park, IL 60130-3100 Ph: (708) 560-1960 |
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